Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $194.98 / $436.52	Professional		$162.18	$194.98	$436.52
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $213.80 / $263.03	Professional		$190.55	$213.80	$263.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $50.12 / $50.12 / $114.82	Facility		$50.12	$50.12	$114.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $234.42 / $446.68	Professional		$173.78	$234.42	$446.68
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $239.88 / $398.11	Professional		$208.93	$239.88	$398.11
United Facility/Professional Facility Modifier Low / Median / High Price $36.31 / $40.74 / $165.96	Facility		$36.31	$40.74	$165.96
United Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $213.80 / $380.19	Professional		$151.36	$213.80	$380.19
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $239.88 / $316.23	Professional		$186.21	$239.88	$316.23